Southern Indiana Living - March / April 2024

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Real Life Nutrition Nutritious Sips: A Basic Guide to Nutritional Supplement Drinks Every week in my work as a registered dietitian nutritionist, I meet a few patients who are spending a lot of money on nutritional supplement drinks that are not meeting their needs. These folks are diligently using supplements in an effort to solve a specific health issue, but they are not getting the results they seek, because they have selected a supplement that doesn’t have the right energy or macronutrient balance for their specific needs. Let’s get a few definitions straight before we go any further: Energy: In the context of nutrition, energy is measured in calories. Consuming enough total energy each day is important to adequately fuel the human body. Each person has their own unique energy need, which translates into how many calories they need to consume each day to function at their best, and to maintain a stable, functional body weight. Macronutrients: Commonly called “macros,” macronutrients are the three major nutrients that provide our bodies with the above energy we need to function. The three macros are 1) protein, 2) carbohydrate and 3) fat. Each of these play essential roles in our bodies, and all are required in some amount for proper body function. The amount of each that an individual needs will vary from person to person, according to each person’s unique health needs. Nutritional supplement drinks vary widely in the amount of energy (calories) they provide, as well as in the ratios of macronutrients they provide. For example, some supplements are very high in protein, while others are more moderate or even low in protein. Others may be low in carbohydrates, while others are more carbohydrate rich. Likewise, some supplements will provide a higher amount of dietary fat, while others are fat-free. The variability between products makes it possible for people with differing health needs to find a product that may work for them. So, how do you know which supplement to choose? There are many factors to consider. Here are some recommendations for the four most common reasons my patients are utilizing nutritional supplements: Reason #1: You want to gain weight If your goal is weight gain, choose higher-energy (higher-calorie) drinks, with 250 or more calories per serving. Calories are king here! It is more important to choose a high-calorie drink for weight gain than it is to choose a highprotein drink. A common mistake I see in the hospital is this: An underweight person is drinking a high-protein, lowcalorie supplement, thinking that the high protein content will help them gain weight, but they aren’t gaining anything, despite drinking the supplements every day. This is because high protein intake alone will not drive weight gain unless the person is also eating plenty of calories! Additionally, the high protein content of the supplement is so filling, often the person ends up eating fewer calories overall because they are so full, making it impossible to gain weight. Rather than choosing the highest protein option, choose the highest calorie option. Reason #2: You want to lose weight If you are looking for a supplement to help support your nutritional goals while losing weight, choose lower-energy (lower-calorie) drinks, generally with 200 or fewer calories per serving. That said, there are a few of these products that clock in around 230 to 240 calories because of their very high protein, but most drinks designed for weight loss will have 200 calories or fewer. Often, these products have a slightly larger serving size — anywhere from 10 ounces to 14 ounces per serving. This helps make them more filling, but it is also why these supplements aren’t very helpful for those who need to gain weight. Filling up on these higher-volume supplements may support eating less food overall. Typically, these products will be higher in protein, and lower in total carbohydrates. Reason #3: You want to add protein, but you don’t like “milky” options, or you need a fat-free option Do you dislike the taste or the texture of milk, or do you need a fat-free option for medical reasons? Try a clear nutritional supplement! Clear nutritional supplements are generally fruitflavored and have the appearance of fruit juice. Some of these are higher in carbohydrate, while others are lower. Generally, the higher-calorie, highercarbohydrate versions are designed for weight gain, while the lower-calorie, lower-carbohydrate versions are designed for weight loss. Consider your personal goals when making your selections. Reason #4: You need extra nutrition and have additional needs due to kidney disease Some nutritional supplements are specifically made for people with kidney concerns. Often, other supplements on the market have too much potassium and phosphorus to use routinely in kidney disease. If you’ve made it this far, you’ve probably realized that the subject of nutritional supplements is a vast one. We haven’t even scratched the surface of protein powders and bars! If you have supplement questions that extend beyond this introductory guide, consider working with a registered dietitian nutritionist to create an individual plan. • Please remember that this article is for informational purposes only, and it does not contain specific medical advice. It should not take the place of one-on-one care with a health-care professional. Always consult your registered dietitian nutritionist, physician and/or other health-care providers before making nutritional modifications. Do not disregard professional medical advice or delay seeking medical care because of anything you have read in this article. Mention of specific products in this article should not be interpreted as endorsement of any specific brand or product. About the Author Anna Hartman, RDN, LD, CD, is the Lead Clinical Dietitian at Baptist Health Floyd, and has many years of experience as a caregiver. Anna is passionate about supporting family caregivers as they navigate nutritional caregiving for their loved ones. Southern Indiana Living • Mar/Apr 2024 • 23
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Southern Indiana Living - March / April 2024

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